LexisNexis NZ - Application for Free Trial

Please fill in the Company Information and User Details section and click on "I Agree" button to submit the form. The information is required to protect your user name and ID and will not be used for any other purpose.

NB - Trials are only available for New Zealand products.

Please note fields marked with (R) are required fields.

Form details that are incorrect or invalid will not be processed for trial access.

Please ensure all information provided on the form is correct.

	Company Information:
Company/Business Name:	(R)
LexisNexis Account Number:	Please fill this, if you have a LexisNexis account
Company Type:
Street No/Name:	(R)
Suburb Name:	(R)
Postcode:
Country:	(R)
Phone:	(R) Area code Phone number
Fax:	Area code Fax number
	User Details:
Title:
First Name:	(R)
Last Name:	(R)
Occupation:
Phone:	(R) Area code Phone number
Fax:	Area code Fax number
Email Address:	(R) (Your user name and password will be e-mailed to you)

IMPORTANT NOTICE

The information you provide on this form is being collected by LexisNexis New Zealand Limited for the purposes of processing your registration or enquiry and keeping you informed of upcoming products, services offers and events. The information is disclosed from time to time to our related bodies corporate for these purposes. The provision of this information by you is voluntary but if you do not provide some or all of the requested information we may be unable to properly process your registration. You have both a right of access to the personal information we hold about you and to ask us to correct it if it is inaccurate or out of date. Please direct any queries to Customer Service at LexisNexis New Zealand or email to customer.service@lexisnexis.co.nz.

I do not wish to receive information about upcoming products, services, offers or events

Terms of Trade

Please note: Application for free trial is subject to Head Office approval.